加强手术室保温护理在宫颈癌根治术患者手术中的应用效果

The application effect of strengthening the thermal insulation nursing in the operating room in the patients undergoing radical cervicectomy

目的评价加强手术室保温护理在宫颈癌根治术患者手术中的应用效果。方法选取60例宫颈癌患者,均接受宫颈癌根治术治疗,根据随机数字表法分为对照组与观察组,每组30例。对照组患者给予常规护理,观察组患者加强手术室保温护理。比较两组护理效果。结果观察组患者术中肛温明显高于对照组,肾上腺素、去甲肾上腺素及C-反应蛋白指标均较对照组更低(P<0.05)。观察组患者术后清醒时间、首次肛门排气及下床活动时间分别为(14.03±2.57)min、(31.28±4.60)h、(42.90±3.55)h,均分别短于对照组的(18.86±2.35)min、(38.44±3.75)h、(44.96±3.29)h(P<0.05)。观察组术中低体温及术后并发症发生率均低于对照组(P<0.05)。结论在宫颈癌根治术患者手术中加强手术室保温护理,对保证患者体温和稳定其应激反应指标具有显著效果,且能够一定程度上促进患者术后康复速度,保证其临床安全性,具有临床应用价值。

Objective To evaluate the effect of enhanced insulation nursing in operating room in patients undergoing radical cervicectomy.Methods 60 patients with cervical cancer were selected,all of whom were treated with radical cervicectomy.They were divided into control group and observation group according to random number table method,with 30 cases in each group.Patients in control group were given routine nursing,and patients in observation group were given enhanced thermal insulation nursing in operating room.The nursing effect of the two groups was compared.Results The anal temperature of observation group was significantly higher than that of control group,and the indexes of epinephrine,norepinephrine and C-reactive protein were lower than those of control group(P<0.05).The waking time,the first anal exhaust and the time of getting out of bed in the observation group were(14.03±2.57)min,(31.28±4.60)h and(42.90±3.55)h,respectively.It was shorter than that of control group(18.86±2.35)min,(38.44±3.75)h,(44.96±3.29)h(P<0.05),respectively.The incidence of intraoperative hypothermia and postoperative complications in observation group were lower than those in control group(P<0.05).Conclusion Strengthening the thermal insulation nursing in the operating room during the operation of patients with radical cervical cancer resection has a significant effect on ensuring the temperature of patients and stabilizing their stress response indicators,and can promote the postoperative recovery speed of patients to a certain extent and ensure their clinical safety,which has clinical application value.